On Call Registered Nurse (RN) Sign on!

Heartland Hospice • Adrian, MO

9d

About The Position

Heartland Hospice is hiring an After-Hours Hospice Registered Nurse to provide direct patient care and support outside normal business hours. The nurse responds to urgent calls, patient visits, and symptom-management needs, serving as a primary liaison among patients, families, physicians, and the hospice team while coordinating care with daytime staff. The position includes weekend on-call coverage from Friday at 5:00 PM through Monday at 8:00 AM and serves designated portions of Cass and Barton counties, as well as Bates, Henry, St. Clair, Cedar, and Vernon counties. The role may also include routine visits during normal business hours.

The RN assesses patients, helps develop and implement physician-prescribed hospice plans of care, educates patients and caregivers, and collaborates with the interdisciplinary group to provide physical, psychosocial, educational, emotional, and spiritual support. The nurse maintains patient records, follows clinical and regulatory standards, participates in quality-improvement activities, and remains accessible through the TeleMed mobile application during scheduled shifts. This is a safety-sensitive position.

Work-related travel mileage is reimbursed. A fleet vehicle with a gas card may be available. The role offers a $7,500 sign-on bonus and full salary and benefits. Heartland Hospice is part of Gentiva, a national provider of hospice, palliative, home health, and advanced illness care, with nearly 600 locations and clinicians across 38 states.

Requirements

• Current RN license in the state of requested employment, or eligibility to obtain one.
• At least 1 year of nursing experience.
• Compassionate, calm, and dependable approach in urgent care situations.
• Excellent clinical judgment and ability to provide support in emotionally intense settings.
• Comfort providing care in patients’ homes, facilities, or other places where they reside.
• Valid driver’s license, automobile insurance, and reliable transportation.
• Current CPR certification.

Nice To Haves

• At least 1 year of hospice, home health, oncology, or palliative care experience.
• Familiarity with symptom management, triage, and after-hours home-based care.
• Prior experience in on-call or overnight nursing roles.
• Strong documentation and electronic medical record (EMR) skills.

Responsibilities

• Provide direct patient care and support after normal business hours.
• Respond promptly to urgent calls, patient visits, and symptom-management needs.
• Serve as a primary liaison among patients, families, physicians, and the hospice team during the shift.
• Assess patient and family needs to guide clinical decisions and implement the plan of care.
• Perform initial and ongoing patient assessments.
• Help develop and implement the hospice plan of care as prescribed by the physician and in collaboration with the interdisciplinary group.
• Educate patients, families, and caregivers about identified care needs, including medication administration, dressing changes, oxygen administration, hospice philosophy, and care of terminally ill patients.
• Collaborate with the interdisciplinary group to provide physical, psychosocial, educational, emotional, and spiritual services, including bereavement support.
• Report changes in patient condition to the Attending Physician and Hospice Physician.
• Maintain contact with patients’ families or significant others to provide information, support, and continuity of care.
• Maintain accurate and updated medical records, including interdisciplinary notes, plans of care, assessments, and other relevant information.
• Keep access to the TeleMed mobile application on a cellular device or tablet during scheduled shifts to support timely responses, communication, and task completion.
• Review and follow up on assigned clinical records to ensure quality services, standards of practice, and compliance with policies and regulatory requirements.
• Practice infection control measures and standard precautions.
• Make routine supervisory visits with other team members at least monthly.
• Monitor scheduling of staff.
• Maintain knowledge of pain and symptom management in the dying process.
• Participate in the Quality Assessment and Performance Improvement Program.
• Work independently and coordinate continuity of care with the daytime team.
• Attend staff meetings, complete required annual training, promote company core values, and perform other assigned activities.
• May perform routine visits during normal business hours.

Benefits

• $7,500 sign-on bonus.
• Competitive pay.
• 401(k) with company match.
• Career advancement opportunities.
• National and local recognition programs.
• Teammate Assistance Fund.
• Medical, dental, and vision insurance for full-time associates.
• Mileage reimbursement or fleet vehicle program.
• Generous paid time off and 7 paid holidays.
• Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care.
• Education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN programs.
• Free continuing education units (CEUs).
• Company-paid life and long-term disability insurance.
• Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed